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ID 55267
Sort Key
9
タイトル(別表記)
Achalasia treated with per-oral endoscopic myotomy (POEM)
著者
杉原 雄策 岡山大学病院 消化器内科
原田 馨太 岡山大学病院 光学医療診療部
加藤 諒 岡山大学病院 消化器内科
山内 健司 岡山大学病院 消化器内科
高嶋 志保 岡山大学病院 消化器内科
竹井 大介 岡山大学病院 光学医療診療部
井口 俊博 岡山大学病院 消化器内科
高原 政宏 岡山大学病院 消化器内科
川野 誠司 岡山大学病院 消化器内科
平岡 佐規子 岡山大学病院 消化器内科
田辺 俊介 岡山大学病院 消化管外科
野間 和宏 岡山大学病院 消化管外科
白川 靖博 岡山大学病院 消化管外科
眞部 紀明 川崎医科大学 検査診断学
井上 晴洋 昭和大学江東豊洲病院 消化器センター
岡田 裕之 岡山大学病院 消化器内科 科研費研究者番号
抄録
Esophageal achalasia is a disorder of the lower esophageal sphincter muscle. Patients present with dysphagia, chest pain, vomiting, and aspiration. Esophageal achalasia had traditionally been treated with esophageal achalasia balloon dilatation and the Heller-Dor method, but in recent years, the use of per-oral endoscopic myotomy (POEM) has increased. Our patient, a 39-yr-old male, began experiencing dysphagia 4 years prior to his referral to our hospital. Based on the results of esophagogastroduodenoscopy, esophageal radiography and high-resolution manometry, we made the diagnosis of esophageal achalasia (Chicago classification type I) . After informed consent from the patient and his family and approval from our hospital's ethics committee were obtained, we performed a POEM. The patient was discharged on the 4th day post-surgery. At the 1-year post-operative examination, no worsening of symptoms and no relapse were observed. POEM is an excellent treatment method for esophageal achalasia from the perspective of therapeutic effect and prevention of invasion. We recommend that it be considered as the first-choice treatment for achalasia. However, accessibility to the procedure itself is limited due to the few adequately trained operators worldwide. POEM should thus be performed by an expert operator at a high-volume center.
キーワード
POEM
食道アカラシア (esophageal achalasia)
備考
症例報告(Case Reports)
出版物タイトル
岡山医学会雑誌
発行日
2017-08-01
129巻
2号
出版者
岡山医学会
出版者(別表記)
Okayama Medical Association
開始ページ
115
終了ページ
121
ISSN
0030-1558
NCID
AN00032489
資料タイプ
学術雑誌論文
関連URL
https://doi.org/10.4044/joma.129.115
OAI-PMH Set
岡山大学
言語
Japanese
著作権者
Copyright (c) 2017 岡山医学会
論文のバージョン
publisher
査読
有り
DOI
Eprints Journal Name
joma
参考文献
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